11 results
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... (NBTE / Marantic ... Endocarditis) Non-infective ... , Marantic endocarditis ... #NBTE #Marantic
Non-Infective Endocarditis - Pathophysiology
Non-infective Endocarditis Pathophysiology:
 • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Pathophysiology Non-infective ... failure is rare Infective ... and propagate → Vegetation ... #NBTE #Marantic
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective ... false-negative results: vegetation ... already embolised, Vegetations ... #comparison #infective ... #NBTE #Marantic
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Here you see a vegetation ... #MitralValve #Endocarditis ... clinical #cardiology #a4c ... #plax
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
Marantic Endocarditis ... (marantic endocarditis ... Vegetations mostly ... just sit on valve ... Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... formation • Other vegetations ... -mm left sided vegetations ... #management #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... consultation • Valve ... growth or worsening valve ... • Aggressive management ... metastatic foci of infection
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... Echocardiogram #PLAX ... #Infective #Endocarditis ... #MitralValve #Vegetation
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... • Prosthetic Valve ... formation • Other vegetations ... -mm left sided vegetations ... aureus prosthetic valve
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... typically secondary to infection ... of heart valves ... bacteria, ECHO w/ vegetation